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Case 1 :08-cv-00308-JJF Document 3 Filed 05/28/2008 Page 1 of 1 p
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. RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE 5 1
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NAME OF sERvER (PRINT) TE j(j,M,’;Z*;y E . l
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Check one box below to indicate appropriate method of service ‘ FV U l
Served personally upon the defendant. Place where served: I
GPWCE oF *7}9£' 0/: 6`7Z’7Z.
Left copies thereof at the defendants dwelling house or usual place of abode with a person of suitable age J
and discretion then residing therein. p i
Name of person with whom the summons and complaint were left: A lg?
Retumed unexecutedt ( W . ¢ AM/7L
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Other (specify): A g
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STATEMENT OF SERVICE FEES
TRAVEL ·-*"" SERVICES . TOTAL
DECLARATION OF SERVER »
I declare under penalty of perjury under the laws of the United States of America that the foregoing
information contained in the Return of Service and Statement of Service Fees is true and correct. ' I
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Executed on: 5 A f . / ! 1 I
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D te Signature o Server ' /7"’
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Address of eryé _, l
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(l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.
Case 1:08-cv-00308-JJF
Document 3
Filed 05/28/2008
Page 1 of 1